Individual
MS. MARYKAY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
901 E BRADY ST, SUITE 103, BUTLER, PA 16001-4648
(724) 282-1627
Mailing address
901 E BRADY ST, SUITE 103, BUTLER, PA 16001-4648
(724) 282-1627
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW002779E
PA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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